Re: caulophyllum thalictroides tablets+ IOL
From: R. Daniel Braun (rd.braun@gmail.com)
Tue Aug 16 10:16:26 2005
A. It was not "obviously" effective in inducing labor. Two other methods
that are known to induce labor, acupuncture & nipple stimulation were also
used.
B. This is equivalent to giving pitocin, cervadil, and an EASI all at the
same time to induce labor. If a Doc were to do that it would be considered
HORRIBLE.
C. I can't find out much about "Blue" cohosh, except that it should not be
confused with "Black" cohosh which I can find out a lot about. Using these
herbal preps like this for inducing labor is about equivalent to giving IM
pitocin. You can't control the dose, because you can't get it back once you
have given it and it will stay there for awhile.
D. Was the baby or placenta stained with the meconium or was meconium noted
in Macrophages on the placental surface? All of these take at least 24-48
hours to occur.
Dan
On 8/16/05, Len2976@aol.com <Len2976@aol.com> wrote:
>
> I have a question for the group, particularly MWs and others who are
> familiar with herbal therapy, an area which I am not familiar with.
> Sunday afternoon I had a patient (32 y/o G1 at 38+ weeks) present to L&D
> with what appeared to be symptoms of aacute gastroenteritis--severe nausea,
> vomiting, and diarhea for about 18 hours. The woman was doubled over in pain
> at times screaming as though she was in transition.
> Her sister, who is a message therapist, had given her caulophyllum
> thalictroides tablets to induce labor. She had taken 2 tablets every 3 hours
> the evening before and yesterday morning (6 doses for a total of 12
> tablets). I learned that caulophyllum thalictroides tabs are blue cohash. In
> addition to the blue cohash, she had also done both accupressure and nipple
> stimulation (for 15 minute periods per hour) to try to induce labor. She had
> not consulted either the MD nor any of the CNMs with our practice for advice
> regarding this.
> After assessing her and deciding she was not in active labor on
> admission, but was dehydrated and exhausted from the vomiting and diarhea, I
> admitted her, started an IV, and sedated her so she could get some rest. Her
> cervix was long, thick, and closed, and the FHTs were reassuring.
> About 4 hours later, I was called by the nurse that she was contracting
> regularly, her cervix was about 2-3 cms dilated, and that she wanted an
> epidural. When I got to L&D she had had a SROM with thick meconium stained
> AF. Her labor progressed steadily and I anticipated a NSVD. I usually try to
> encourage patients with an epidural NOT to push when the cervix is fully
> dilated, but to rest and wait till they either have a strong urge or the
> head is at a +2 station. This patient, however, had an urge to push at about
> 9 cms and insisted on pushing when her cervix was fully dilated and the head
> was at a +1 station.
> Unfortunately when she began pushing there were severe variable
> decelerations (down to 40-50's x 1 minute with slow recovery) and after a
> few of these I stopped her from pushing (which helped somewhat), called the
> obstetrician in, and she ended up a C/S. There was no nuchal cord present or
> other explanation for the thick mec.
> My questions involve the appropriate use of the blue cohash. I'm aware
> that some MWs use blue cohash for cervical ripening particularly with
> post-dates patients, but I always thought it was used in a tincture form. I
> could not find out anything regarding usual dosage, side effects, etc.
> Obviously it was as effective in inducing labor as I have sometimes seen
> cytotec to be--in fact it was almost a precipitous labor. Comments would be
> appreciated.
> Lenora McCall, CNM
>
--
R. Daniel Braun
Kinky for Governor
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